2023
Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method
Medvecky M, Kahan J, Richter D, McLaughlin W, Moran J, Islam W, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R. Establishing a Consensus Definition of a Knee Fracture-Dislocation (Schenck Knee Dislocation V) Using a Global Modified Delphi Method. Journal Of Bone And Joint Surgery 2023, 105: 1182-1192. PMID: 37352339, DOI: 10.2106/jbjs.23.00039.Peer-Reviewed Original ResearchConceptsCompression fracturesArticular fracturesResponse rateFracture patternsInferior pole fractureTibial tubercle fracturesMultiligamentous knee injuriesKnee ligament injuriesTibial plateau fracturesWeight-bearing surfaceSpecific fracture patternsTubercle fracturesAvulsion fractureFracture dislocationKnee injuriesLigament injuryBody fracturesComplex injuriesPlateau fracturesSurface involvementType IIIbType IIIAConsensus definitionClinical scenariosDelphi techniqueExtensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees
Medvecky M, Kahan J, Richter D, Islam W, McLaughlin W, Moran J, Alaia M, Miller M, Wascher D, Treme G, Campos T, Held M, Schenck R, Group T. Extensor Mechanism Disruption Impacts Treatment of Dislocated and Multiligament Injured Knees. Journal Of Bone And Joint Surgery 2023, 105: 1012-1019. PMID: 37186688, DOI: 10.2106/jbjs.23.00079.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesTreatment algorithmResponse rateExtensor mechanism disruptionLittle clinical evidenceLarge case seriesTreatment of patientsClinical outcome dataNumerous clinical factorsPositive consensusClassic Delphi techniqueInitial surgeryMechanism disruptionClinical factorsInjured kneesRare injuryCase seriesKnee injuriesProspective studyClinical evidenceOptimal treatmentLigamentous reconstructionTreatment decisionsOutcome dataClinical scenariosExamining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries
Moran J, Lee M, Kunze K, Green J, Katz L, Wang A, McLaughlin W, Gillinov S, Jimenez A, Hewett T, LaPrade R, Medvecky M. Examining the Distribution of Bone Bruise Patterns in Contact and Noncontact Acute Anterior Cruciate Ligament Injuries. The American Journal Of Sports Medicine 2023, 51: 1155-1161. PMID: 36867053, DOI: 10.1177/03635465231159899.Peer-Reviewed Original ResearchConceptsBone bruise patternsAcute anterior cruciate ligament injuryMagnetic resonance imagingAnterior cruciate ligament injuryCruciate ligament injuryBone bruiseNoncontact injuriesLigament injuryContact injuriesACL injuryBruise patternsMedial collateral ligament injuryNoncontact mechanismFat-suppressed T2-weighted imagesMultivariate logistical regression modelIpsilateral knee injuriesCollateral ligament injuriesACL reconstruction surgeryMechanism of injuryBody mass indexNoncontact ACL injuryMedial tibiofemoral compartmentPreoperative MRI scansACL injury mechanismsPosterior cruciate ligament
2022
Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury
Green J, Seddio A, Roybal D, Moran J, Katz L, Medvecky M. Spontaneous Healing of a Posteriorly Displaced Lateral Meniscus Bucket-Handle Tear in a Multiligament Knee Injury. JBJS Case Connector 2022, 12: e22.00503. PMID: 36821095, DOI: 10.2106/jbjs.cc.22.00503.Peer-Reviewed Original ResearchMeSH KeywordsAnterior Cruciate LigamentArthroscopyHumansKnee InjuriesMenisci, TibialTibial Meniscus InjuriesWound HealingConceptsBucket-handle meniscus tearsMultiligament knee injuriesKnee injuriesSpontaneous healingAtypical magnetic resonanceAnterior cruciate ligamentBucket-handle tearPolytrauma patientsCompartment syndromeCruciate ligamentMeniscus tearsConcomitant ruptureUnusual caseMedial meniscusMeniscal repairFragment reductionLateral meniscusInjuryTearsHealingMagnetic resonancePainPatientsSyndromeExtravasationOver One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging
Moran J, Schneble C, Katz L, Jimenez A, McLaughlin W, Vasavada K, Wang A, Kunze K, Chahla J, LaPrade R, Alaia M, Medvecky M. Over One-Third of Patients With Multiligament Knee Injuries and an Intact Anterior Cruciate Ligament Demonstrate Medial Meniscal Ramp Lesions on Magnetic Resonance Imaging. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 39: 592-599. PMID: 36575108, DOI: 10.1016/j.arthro.2022.10.022.Peer-Reviewed Original ResearchConceptsMedial meniscus ramp lesionsIntact anterior cruciate ligamentMultiligament knee injuriesAnterior cruciate ligamentMagnetic resonance imagingRamp lesionsBone bruiseBone bruisingKnee injuriesCruciate ligamentMedial meniscal ramp lesionsResonance imagingPreoperative magnetic resonance imagingMeniscal ramp lesionsRetrospective case seriesPosterior cruciate ligamentOne-thirdIntraclass correlation coefficientConsecutive patientsRetrospective reviewCase seriesLigament reconstructionOperative reportsLevel IVLevel IPoorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up
Mojica ES, Bi AS, Vasavada K, Moran J, Buzin S, Kahan J, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Poorer functional Outcomes in Patients with Multi‐Ligamentous Knee Injury with Concomitant Patellar Tendon Ruptures at 5 years Follow‐Up. Knee Surgery, Sports Traumatology, Arthroscopy 2022, 31: 325-331. PMID: 36048200, DOI: 10.1007/s00167-022-07110-3.Peer-Reviewed Original ResearchConceptsMulti-ligamentous knee injuriesPatellar tendon ruptureTendon ruptureBody mass indexKnee injuriesFunctional outcomeInternational Knee Documentation Committee Subjective Knee FormPoorer Functional OutcomesWorse functional outcomeExtensor mechanism injuriesSubjective Knee FormHigh-energy injuriesPatient-reported outcomesPatellar tendon injuryPropensity-score matchingSchenck classificationTegner scoreLysholm scoreMulticenter cohortClinical outcomesMechanism injuriesRare presentationSurgical repairKnee FormMass indexRelationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study
Markus DH, Mojica ES, Bi A, Kahan JB, Moran J, Mannino BJ, Alaia EF, Jazrawi LM, Medvecky MJ, Alaia MJ. Relationship Between Peroneal Nerve and Anterior Cruciate Ligament Involvement in Multiligamentous Knee Injury: A Multicenter Study. Journal Of The American Academy Of Orthopaedic Surgeons 2022, 30: e1461-e1466. PMID: 36326829, DOI: 10.5435/jaaos-d-21-01252.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesPeroneal nerve injuryACL tear groupNerve injuryPosterolateral corner injuriesNerve palsyChart reviewKnee injuriesTear groupMulticenter retrospective cohort analysisComplete anterior cruciate ligament ruptureAnterior cruciate ligament ruptureMore knee ligamentsParticular injury patternPeroneal nerve palsyRetrospective chart reviewRetrospective cohort analysisBody mass indexCruciate ligament ruptureGreater relative riskComplete injurySurgical characteristicsIntact ACLLigament involvementPeroneal nerveRisk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study
Bi AS, Mojica ES, Markus DH, Blaeser AM, Kahan J, Moran J, Jazrawi LM, Medvecky MJ, Alaia MJ. Risk of Postoperative Stiffness Following Multiligamentous Knee Injury Surgery Is Not Affected by Obesity: A Multicenter Study. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2022, 38: 3175-3181. PMID: 35777677, DOI: 10.1016/j.arthro.2022.06.017.Peer-Reviewed Original ResearchConceptsMultiligamentous knee injuriesBody mass indexPostoperative stiffnessVascular injuryIndex surgerySurgical managementExact testLevel 1 academic trauma centerBMI of patientsMulticenter retrospective cohort studyMean body mass indexLogistic regressionRate of MUATwo-center cohortRetrospective cohort studyEffect of obesityAcademic trauma centerGrade of obesityMultivariate logistic regressionExternal fixator useFisher's exact testSignificant differencesCovariates of ageMUA proceduresSchenck classificationExamining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury
Moran J, Schneble CA, Katz LD, Fosam A, Wang A, Li DT, Kahan JB, McLaughlin WM, Jokl P, Hewett TE, LaPrade RF, Medvecky MJ. Examining the Bone Bruise Patterns in Multiligament Knee Injuries With Peroneal Nerve Injury. The American Journal Of Sports Medicine 2022, 50: 1618-1626. PMID: 35384729, DOI: 10.1177/03635465221087406.Peer-Reviewed Original ResearchConceptsMultiligament knee injuriesBone bruise patternsPeroneal nerve injuryMagnetic resonance imagingCPN injuryPhysical examinationBone bruisingNerve injuryBone bruisePLC injuriesKnee injuriesBruise patternsCommon peroneal nerve injuryLevel 1 trauma centerBoard-certified musculoskeletal radiologistsHigh-energy traumaPosterolateral corner injuriesLevel of evidenceCPN palsySchenck classificationInjury subtypesKnee dislocationCase seriesTrauma centerLigamentous injuries
2021
The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury: Response
Kahan J, Li D, Schneble C, Huang P, Porrino J, Medvecky M. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury: Response. The American Journal Of Sports Medicine 2021, 49: np27-np28. PMID: 34081555, DOI: 10.1177/03635465211014491.Peer-Reviewed Original ResearchIncreased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury
Kahan JB, Schneble CA, Li D, Petit L, Huang P, Bullock J, Porrino J, Richter DL, Schenck RC, Medvecky MJ. Increased Neurovascular Morbidity Is Seen in Documented Knee Dislocation Versus Multiligamentous Knee Injury. Journal Of Bone And Joint Surgery 2021, 103: 921-930. PMID: 33587513, DOI: 10.2106/jbjs.20.01151.Peer-Reviewed Original Research
2020
The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury
Kahan JB, Li D, Schneble CA, Huang P, Bullock J, Porrino J, Medvecky MJ. The Pathoanatomy of Posterolateral Corner Ligamentous Disruption in Multiligament Knee Injuries Is Predictive of Peroneal Nerve Injury. The American Journal Of Sports Medicine 2020, 48: 3541-3548. PMID: 33074710, DOI: 10.1177/0363546520962503.Peer-Reviewed Original ResearchMeSH KeywordsCollateral LigamentsHumansKnee InjuriesPeripheral Nerve InjuriesPeroneal NerveRetrospective StudiesConceptsMultiligament knee injuriesPeroneal nerve injuryPeroneal nerve palsyLateral collateral ligamentLocation of injuryNerve palsyNerve injuryPLC injuriesFibular avulsionMidsubstance tearsNeurovascular injuryKnee injuriesInjury patternsVascular injuryAcute posterolateral corner injuriesLevel 1 trauma centerPosterolateral corner injuriesZone of injuryLevel of evidenceHigh rateFemoral avulsionKnee cohortComplete injuryDistal injuriesCase series
2015
Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee
Medvecky MJ, Tomaszewski P. Management of Acute Combined ACL-Medial and Posteromedial Instability of the Knee. Sports Medicine And Arthroscopy Review 2015, 23: e7-e14. PMID: 25932883, DOI: 10.1097/jsa.0000000000000067.Peer-Reviewed Original ResearchConceptsAnterior cruciate ligamentInjury patternsCruciate ligamentMedial collateral ligament injuryThird-degree sprainsCollateral ligament injuriesMedial-sided injuriesClassification of injuryCommon ligamentous injuryExtent of injuryJoint motionCadaveric biomechanical testingMCL injuryACL injuryLigament deficiencyLigament injuryOperative treatmentLigamentous injuriesPhysical examinationKnee subluxationPosteromedial instabilityInjuryMedial structuresActive individualsBiomechanical testing
2008
Comparison of spin echo T1-weighted sequences versus fast spin-echo proton density-weighted sequences for evaluation of meniscal tears at 1.5 T
Wolff AB, Pesce LL, Wu JS, Smart LR, Medvecky MJ, Haims AH. Comparison of spin echo T1-weighted sequences versus fast spin-echo proton density-weighted sequences for evaluation of meniscal tears at 1.5 T. Skeletal Radiology 2008, 38: 21. PMID: 18696062, DOI: 10.1007/s00256-008-0561-1.Peer-Reviewed Original Research
2007
A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete
Medvecky MJ, Zazulak BT, Hewett TE. A Multidisciplinary Approach to the Evaluation, Reconstruction and Rehabilitation of the Multi-Ligament Injured Athlete. Sports Medicine 2007, 37: 169-187. PMID: 17241105, DOI: 10.2165/00007256-200737020-00005.Peer-Reviewed Original ResearchConceptsLigament injuryKnee injuriesCruciate ligamentLateral collateral ligament injurySerious knee ligament injuriesFull recoveryCollateral ligament injuriesKnee ligament injuriesLimb-threatening injuriesAnterior cruciate ligamentDiagnostic imaging evaluationRecent surgical advancesPosterior cruciate ligamentMedial collateral ligamentKnee dislocationDevastating injuriesImaging evaluationTotal disabilityImproved outcomesSurgical advancesAllograft tissueCollateral ligamentRehabilitative interventionsRehabilitative techniquesOrthopaedic literature
2003
Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction: an analysis of techniques and a safe operative approach to the popliteal fossa
Noyes FR, Medvecky MJ, Bhargava M. Arthroscopically assisted quadriceps double-bundle tibial inlay posterior cruciate ligament reconstruction: an analysis of techniques and a safe operative approach to the popliteal fossa. Arthroscopy The Journal Of Arthroscopic And Related Surgery 2003, 19: 894-905. PMID: 14551557, DOI: 10.1016/s0749-8063(03)00651-0.Peer-Reviewed Original ResearchMeSH KeywordsArthroscopyBracesHumansKneeKnee InjuriesPosterior Cruciate LigamentSafetyTendon TransferTendonsTibiaConceptsPosterior cruciate ligament reconstructionQuadriceps tendon autograftSafe operative approachTibial inlay techniqueCruciate ligament reconstructionTendon autograftLigament reconstructionPopliteal fossaGraft placementPosteromedial approachOperative approachGraft positionAthletic individualsRevision casesInlay techniqueVascular anatomyKnee anatomyAnatomyFixationAutograftFossaMR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee.
Haims AH, Medvecky MJ, Pavlovich R, Katz LD. MR imaging of the anatomy of and injuries to the lateral and posterolateral aspects of the knee. American Journal Of Roentgenology 2003, 180: 647-53. PMID: 12591668, DOI: 10.2214/ajr.180.3.1800647.Peer-Reviewed Original Research